Segment Reporting

6 Months Ended

Jun. 30, 2025

Segment Reporting [Abstract]

Segment Reporting

(7) Segment Reporting

We operate in two reportable segments: Acute Care Hospital Services and Behavioral Health Care Services. Our chief operating decision making (“CODM”) group is comprised of our President and Chief Executive Officer and each of our respective division Presidents for our Acute Care Hospital Services and Behavioral Health Care Services. The operating segments are managed separately because each operating segment represents a business unit that offers different types of healthcare services or operates in different healthcare environments. The primary profitability measurement utilized by the President and Chief Executive Officer as well as the Presidents of each operating segment is segment income before income taxes. Segment income before income taxes is utilized by the CODM group during the annual budgeting process and during their reviews of our monthly operating results to monitor each segment’s operating results as compared to prior periods and the respective operating budgets.

The expenses included in our non-segment operating expenses below include centralized services including, but not limited to, information technology, purchasing, reimbursement, accounting and finance, taxation, legal, advertising and design and construction. The accounting policies of the operating segments are the same as those described in the summary of significant accounting policies included in our Annual Report on Form 10-K for the year ended December 31, 2024. We do not present asset information for our segments as this information is not used to allocate resources.

Note: prior year amounts related to certain facilities previously included in our Behavioral Health Care Services’ results have been reclassified into our Acute Care Hospital Services' results as of May 1, 2024 to conform with current year presentation.

Three months ended June 30, 2025	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	2,401,034		$	1,880,076		$	4,281,110
Reconciliation of Net Revenue
Non-segment revenue								2,706
Total Net Revenue							$	4,283,816
Salaries, wages and benefits	$	937,105		$	977,156
Other segment item operating expenses (a)		1,142,344			453,206
Depreciation and amortization expense		96,370			53,259
Interest (income) expense, net		(1,613	)		1,104
Other (income) expense, net		(916	)		(837	)
Reportable segment income before income taxes	$	227,744		$	396,188		$	623,932
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								2,706
Non-segment operating expenses (b)								124,106
Non-segment interest expense, net								35,873
Non-segment other (income) expense, net								(6,726	)
Income before income taxes							$	473,385
Six months ended June 30, 2025	Acute Care Hospital Services			Behavioral Health Care Services (c)			Total
	(amounts in thousands)
Net revenue from reportable segments	$	4,750,263		$	3,627,725		$	8,377,988
Reconciliation of Net Revenue
Non-segment revenue								5,548
Total Net Revenue							$	8,383,536
Salaries, wages and benefits	$	1,847,829		$	1,905,322
Other segment item operating expenses (a)		2,231,416			883,606
Depreciation and amortization expense		191,017			104,667
Interest (income) expense, net		649			2,179
Other (income) expense, net		(9,183	)		(1,662	)
Reportable segment income before income taxes	$	488,535		$	733,613		$	1,222,148
Reconciliation of non-segment revenue/expenses to consolidated income before income taxes
Non-segment revenue								5,548
Non-segment operating expenses (b)								264,584
Non-segment interest expense, net								72,592
Non-segment other (income) expense, net								(3,293	)
Income before income taxes							$	893,813